Nokea
Which medication is most likely to cause serious respiratory depression as a potential adverse reaction?
- A. Morphine
- B. Pentazocine
- C. Hydrocodone
- D. Nalmefene
Correct Answer: A
Rationale: Morphine, as a strong opioid agonist, has the highest likelihood of causing serious respiratory depression due to its potent effects on the central nervous system. While Pentazocine and Hydrocodone can also cause respiratory depression, they are less likely to do so compared to morphine. Nalmefene, an opioid antagonist, is used to reverse respiratory depression caused by opioids rather than causing it.
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A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?
- A. Urinary tract infection
- B. Nephrotic syndrome
- C. Acute glomerulonephritis
- D. Vesicoureteral reflux
Correct Answer: A
Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis are indicative of a urinary tract infection. These symptoms, including urinary frequency and pain during urination, commonly point towards a UTI. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Acute glomerulonephritis is characterized by hematuria, proteinuria, hypertension, and oliguria. Vesicoureteral reflux may lead to recurrent UTIs but does not directly present with dysuria and urgency.
Radiotherapy is an effective modality of treatment in variable pediatric solid tumors. Of the following, the LEAST responsive tumor to radiotherapy is
- A. rhabdomyosarcoma
- B. neuroblastoma
- C. nephroblastoma
- D. osteosarcoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which causes the clinical manifestations of hydronephrosis?
- A. A structural abnormality causes urine to back up, increasing pressure and causing cell death.
- B. Urine flows too freely, causing imbalances.
- C. Decreased urine production causes electrolyte issues.
- D. Abnormal urine composition leads to high blood pressure and increased GFR.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which statement by the parents indicates understanding of the process involved with a kidney transplant for a child with renal failure?
- A. We are happy our child will not have to take any more medicine after the transplant.
- B. We understand our child will not be at risk anymore for catching colds from other children at school.
- C. We will be glad we will not have to bring our child in to see the doctor again.
- D. We know it is important to ensure that our child takes prescribed medications after the transplant.
Correct Answer: D
Rationale: The correct answer is D because parents should understand the importance of medication adherence post-transplant to prevent rejection. Following the prescribed medication regimen is crucial for the success of the kidney transplant and the overall health of the child. Monitoring and ensuring the child takes their medications as directed by the healthcare provider are essential components of post-transplant care.
The American Academy of Pediatrics (AAP) recommends the fasting total cholesterol level is elevated when serum cholesterol is
- A. ≥150 mg/dL
- B. ≥175 mg/dL
- C. ≥200 mg/dL
- D. ≥225 mg/dL
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.